A Case of Intestinal Endometriosis Coexisting with the Canal of Nuck

Abstract

A 53-year-old woman visited our department with the chief complaints of swelling in the right inguinal region. We diagnosed hydrocele of the canal of Nuck and performed hydrocelectomy. The histopathological diagnosis was endometriosis with a hydrocele of the canal of Nuck. Twenty-six months after the initial surgery, the abdominal contrast-enhanced computed tomography (CT) performed during follow-up of another disease incidentally revealed wall thickening from the ileum to the cecum. Laparoscopic ileocolic resection was performed for diagnostic and therapeutic purposes. The histopathological diagnosis was intestinal endometriosis. We retrospectively examined the abdominal plain CT images which were made prior to the initial surgery and found the thickening from the ileum to the cecum. This finding provided the evidence of coexisting hydrocele of the canal of Nuck and intestinal endometriosis. This suggests that preoperative and intraoperative intra-abdominal examination is important in the treatment of hydrocele of the canal of Nuck.